Nostril Side on Epistaxis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Nasotracheal intubation.
- Who it may be relevant to
- Registry conditions: Nasotracheal Intubation. Basic parameters: from 19 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- South Korea
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
The Effect of Nostril Side on Epistaxis During Nasotracheal Intubation
Overview
The purpose of the study is to investigate the effect of the nostril side on epistaxis during nasotracheal intubation.
Detailed description
This prospective randomized controlled study was approved by the IRB of our institute.
Patients requiring nasotracheal intubation will be screened for eligibility for the study. Then, patients will be randomized to one of two groups; (Group I: tube will be inserted through the left nostril and advanced into the oral cavity / Group II: tube will be inserted through the right nostril and advanced into the oral cavity). After induction of anesthesia and muscle relaxation, the preformed nasal RAE (Ring-Adair-Elwyn) tube will be inserted via the nostril, which is assigned to each patient according to the group, approximately 3-4 cm. Next, an anesthesiologist will advance the tube into the oral cavity. After the tube is placed in the oral cavity, the anesthesiologist will perform nasotracheal intubation with Magill forceps. After that, an investigator will check the occurrence of epistaxis due to nasotracheal intubation and its severity with a fiberoptic bronchoscope. After obtaining all data, investigators will analyze the incidence of epistaxis and its severity between the two groups.
Interventions
- Procedure Nasotracheal intubation
For nasotracheal intubation, the nasal RAE tube will be first inserted through the left nostril for patients in the left nostril side arm. For nasotracheal intubation, the nasal RAE tube will be first inserted through the right nostril for patients in the right nostril side arm.
Primary outcome measures
- epistaxis [Time frame: during nasotracheal intubation]
Eligibility criteria
Inclusion criteria
- adult patients requiring nasotracheal intubation for elective surgery
Exclusion criteria
- refuse to participate in the study
- severe deformity in the nose
- current severe epistaxis
- cannot insert the tube into a specific nostril side due to any reason
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Prevention
Study locations
South Korea · 2 centers
- Seoul Metropolitan Government Seoul National University Boramae Medical Center — Seoul
- Gangnam Severance Hospital — Seoul
Publications
- Sanuki T, Hirokane M, Kotani J. Epistaxis during nasotracheal intubation: a comparison of nostril sides. J Oral Maxillofac Surg. 2010 Mar;68(3):618-21. doi: 10.1016/j.joms.2009.04.097. Epub 2009 Nov 22. PMID 19931965
Identifiers
NCT: NCT06605989 · 04-2024-0025